| 2701 |
KU002701 |
Risk, Safety, and Failure Prevention — GROUND FAULT SYSTEM TEST SHEET NO. |
media_required |
| 2702 |
KU002702 |
Risk, Safety, and Failure Prevention — Figure E.11 Typical Ground-Fault System Test Report. |
no_media_needed |
| 2703 |
KU002703 |
Risk, Safety, and Failure Prevention — INSTRUMENT/METER CALIBRATION AND TEST REPORT SHEET NO. |
no_media_needed |
| 2704 |
KU002704 |
Risk, Safety, and Failure Prevention — Figure E.12 Typical Instrument/Meter Calibration and Test Report. |
no_media_needed |
| 2705 |
KU002705 |
Risk, Safety, and Failure Prevention — WATT-HOUR METER TEST SHEET SHEET NO. |
no_media_needed |
| 2706 |
KU002706 |
Risk, Safety, and Failure Prevention — Figure E.13 Typical Watt-Hour Meter Test Sheet. |
no_media_needed |
| 2707 |
KU002707 |
Risk, Safety, and Failure Prevention — PANELBOARD/CIRCUIT BREAKER TEST REPORT SHEET NO. |
no_media_needed |
| 2708 |
KU002708 |
Risk, Safety, and Failure Prevention — Figure E.14 Typical Panelboard/Circuit Breaker Test Report. |
no_media_needed |
| 2709 |
KU002709 |
Risk, Safety, and Failure Prevention — TRANSFORMER TEST AND INSPECTION REPORT SHEET NO. |
no_media_needed |
| 2710 |
KU002710 |
Risk, Safety, and Failure Prevention — Figure E.15 Typical Transformer Test and Inspection Report. |
media_required |
| 2711 |
KU002711 |
Risk, Safety, and Failure Prevention — TRANSFORMER (DRY TYPE) INSPECTION RECORD Pegs. |
no_media_needed |
| 2712 |
KU002712 |
Risk, Safety, and Failure Prevention — Figure E.16 Typical Transformer (Dry Type) Inspection Record. |
no_media_needed |
| 2713 |
KU002713 |
Risk, Safety, and Failure Prevention — TRANSFORMER (LIQUID FILLED) INSPECTION RECORD Paget. |
no_media_needed |
| 2714 |
KU002714 |
Risk, Safety, and Failure Prevention — Figure E.17 Transformer (Liquid Filled) Inspection Record. |
no_media_needed |
| 2715 |
KU002715 |
Risk, Safety, and Failure Prevention — TRANSFORMER OIL SAMPLE REPORT TOTAL NO. |
no_media_needed |
| 2716 |
KU002716 |
Risk, Safety, and Failure Prevention — Figure E.18 Typical Transformer Oil Sample Report. |
no_media_needed |
| 2717 |
KU002717 |
Risk, Safety, and Failure Prevention — 0.03 mgKOH/g MAX |
no_media_needed |
| 2718 |
KU002718 |
Risk, Safety, and Failure Prevention — Figure E.19 Typical Transformer Oil Trending Report. |
no_media_needed |
| 2719 |
KU002719 |
Risk, Safety, and Failure Prevention — TRANSFORMER INSULATION RESISTANCE RECORD Plant) — Date Scope: Power transformers of 150 kVA and greater capacity with pr |
no_media_needed |
| 2720 |
KU002720 |
Risk, Safety, and Failure Prevention — Figure E.20 Typical Transformer Insulation Resistance Record. |
media_required |
| 2721 |
KU002721 |
Risk, Safety, and Failure Prevention — VALVE-REGULATED LEAD-ACID (VRLA) STATIONARY BATTERIES AND CHARGERS INSPECTION REPORT Inspected by; — Inspection date: Us |
media_required |
| 2722 |
KU002722 |
Risk, Safety, and Failure Prevention — VALVE-REGULATED LEAD-ACID (VRLA) MAINTENANCE WORKSHEET BATTERY CHARGE STATUS C1OPEN CIRCUIT FLOAT 1 EQUALIZE BATTERY BUS |
no_media_needed |
| 2723 |
KU002723 |
Risk, Safety, and Failure Prevention — Figure E.21(b) Example of a VRLA Maintenance Worksheet. |
media_required |
| 2724 |
KU002724 |
Risk, Safety, and Failure Prevention — ENGINE GENERATOR INSPECTION SHEET NO. |
no_media_needed |
| 2725 |
KU002725 |
Risk, Safety, and Failure Prevention — Figure E.22 Typical Engine Generator Set Inspection Checklist. |
media_required |
| 2726 |
KU002726 |
Risk, Safety, and Failure Prevention — AUTOMATIC TRANSFER SWITCH SHEET NO.___ oF ____ CUSTOMER DATE PROVECTNO, ADDRESS AIR TEMP, REL, HUMIDITY, OWNERUSER CATE |
no_media_needed |
| 2727 |
KU002727 |
Risk, Safety, and Failure Prevention — Figure E.23 Typical Automatic Transfer Switch Report. |
media_required |
| 2728 |
KU002728 |
Risk, Safety, and Failure Prevention — UNINTERRUPTIBLE POWER SUPPLY (UPS) SYSTEM INSPECTION CHECKLIST For use of this form see TM 5-694: the proponent agency i |
media_required |
| 2729 |
KU002729 |
Risk, Safety, and Failure Prevention — Figure E.24 Typical Uninterruptible Power Supply System Inspection Checklist. |
media_required |
| 2730 |
KU002730 |
Risk, Safety, and Failure Prevention — BACK-UP POWER SYSTEM INSPECTION CHECKLIST For use of this form see TM 5-694: the proponent agency is COE. |
media_required |
| 2731 |
KU002731 |
Risk, Safety, and Failure Prevention — Figure E.25 Typical Back-Up Power System Inspection Checklist. |
media_required |
| 2732 |
KU002732 |
Risk, Safety, and Failure Prevention — INSULATION RESISTANCE-DIELECTRIC ABSORPTION TEST SHEET FOR POWER CABL' Test No, —______ «Company Date ————___________ __ |
no_media_needed |
| 2733 |
KU002733 |
Risk, Safety, and Failure Prevention — Figure E.26 Typical Insulation Resistance–Dielectric Absorption Test Sheet for Power Cable. |
no_media_needed |
| 2734 |
KU002734 |
Risk, Safety, and Failure Prevention — CABLE TEST SHEET Company Date Job No. |
no_media_needed |
| 2735 |
KU002735 |
Risk, Safety, and Failure Prevention — Figure E.27 Typical Cable Test Sheet. |
no_media_needed |
| 2736 |
KU002736 |
Risk, Safety, and Failure Prevention — 1.5 Good *------------ 3to4 Questionable ------- 1 |
no_media_needed |
| 2737 |
KU002737 |
Risk, Safety, and Failure Prevention — Figure E.28 Typical Insulation Resistance Test Record. |
no_media_needed |
| 2738 |
KU002738 |
Risk, Safety, and Failure Prevention — INSULATION RESISTANCE TEST RECORD FOR ROTATING MACHINERY Reference: ANSI/IEEE 43, Recommended Practice for Scope: Testin |
no_media_needed |
| 2739 |
KU002739 |
Risk, Safety, and Failure Prevention — Figure E.29 Typical Insulation Resistance Test Record for Rotating Machinery. |
media_required |
| 2740 |
KU002740 |
Risk, Safety, and Failure Prevention — MOTOR TEST INFORMATION SHEET NO. |
no_media_needed |
| 2741 |
KU002741 |
Risk, Safety, and Failure Prevention — Figure E.30 Typical Motor Test Information Form. |
no_media_needed |
| 2742 |
KU002742 |
Risk, Safety, and Failure Prevention — GROUNDING SYSTEM RESISTANCE TEST SHEET NO. |
no_media_needed |
| 2743 |
KU002743 |
Risk, Safety, and Failure Prevention — Figure E.31 Typical Ground System Resistance Test Report. |
no_media_needed |
| 2744 |
KU002744 |
Risk, Safety, and Failure Prevention — 0.1 ohm NEW CONSTRUCTION WET: LOCATIONS: 12 MONTHE: 0 |
no_media_needed |
| 2745 |
KU002745 |
Risk, Safety, and Failure Prevention — Figure E.32 Typical Ground Test Inspection Report — Health Care Facilities. |
no_media_needed |
| 2746 |
KU002746 |
Risk, Safety, and Failure Prevention — LINE ISOLATION MONITOR TEST DATA — HEALTH CARE FACILITIES SHEET oF CUSTOMER DATE ___ PROJECT NO. |
no_media_needed |
| 2747 |
KU002747 |
Risk, Safety, and Failure Prevention — Figure E.33 Typical Line Isolation Monitor Test Data Report — Health Care Facilities. |
no_media_needed |
| 2748 |
KU002748 |
Risk, Safety, and Failure Prevention — TORQUE VALUE RECORD SHEETNO. |
no_media_needed |
| 2749 |
KU002749 |
Risk, Safety, and Failure Prevention — Figure E.34 Typical Torque Value Record. |
media_required |
| 2750 |
KU002750 |
Risk, Safety, and Failure Prevention — MAIN POWER ENERGIZATION CHECKLIST For use of this form see TM 5-694: the proponent agency is COE. |
no_media_needed |
| 2751 |
KU002751 |
Risk, Safety, and Failure Prevention — Figure E.35 Typical Main Power Energization Checklist. |
no_media_needed |
| 2752 |
KU002752 |
Risk, Safety, and Failure Prevention — Facility Identification Jok INSTRUCTIONS TO CONTRACTOR Date: Contractor Name: Address: —$——__$_$_$_$§_§_i City, State, Z |
media_required |
| 2753 |
KU002753 |
Risk, Safety, and Failure Prevention — Figure E.36 Instructions to Contractor. |
no_media_needed |
| 2754 |
KU002754 |
Risk, Safety, and Failure Prevention — Facility Identification Jol PROJECT SCOPE OF WORK Introduction This Scope of Work document will define the maintenance a |
no_media_needed |
| 2755 |
KU002755 |
Risk, Safety, and Failure Prevention — Facility Identification Jol PROJECT SCOPE OF WORK (continued) Specific Task Description Contractor will perform the spec |
media_required |
| 2756 |
KU002756 |
Risk, Safety, and Failure Prevention — Figure E.37 Project Scope of Work Template. |
no_media_needed |
| 2757 |
KU002757 |
Risk, Safety, and Failure Prevention — PROJECT SCOPE OF WORK QUOTE FORM Location: Project No. |
no_media_needed |
| 2758 |
KU002758 |
Risk, Safety, and Failure Prevention — Figure E.38 Project Scope of Work Form. |
media_required |
| 2759 |
KU002759 |
Risk, Safety, and Failure Prevention — PROJECT SCOPE OF WORK MODIFICATION QUOTE FORM Location: Project No. |
no_media_needed |
| 2760 |
KU002760 |
Risk, Safety, and Failure Prevention — Figure E.39 Project Scope of Work Modification Form. |
no_media_needed |
| 2761 |
KU002761 |
Risk, Safety, and Failure Prevention — Figure E.40 Cover and Contents. |
no_media_needed |
| 2762 |
KU002762 |
Risk, Safety, and Failure Prevention — POINTS OF CONTACT Installation: Address: Names Titles Office Symbols Phones Contractor’s Name: Address: Names Titles Off |
no_media_needed |
| 2763 |
KU002763 |
Risk, Safety, and Failure Prevention — Figure E.41 Points of Contact. |
no_media_needed |
| 2764 |
KU002764 |
Risk, Safety, and Failure Prevention — POWER DISTRIBUTION UNIT (PDU) SURVEY Date: Installation: Location: Power Distribution Unit (PDU) Identification: Manufac |
no_media_needed |
| 2765 |
KU002765 |
Risk, Safety, and Failure Prevention — POWER DISTRIBUTION UNIT (PDU) SURVEY (continued) Deficiencies found Problems in the past Customer’s concerns |
no_media_needed |
| 2766 |
KU002766 |
Risk, Safety, and Failure Prevention — Figure E.42 Power Distribution Unit (PDU) Survey. |
no_media_needed |
| 2767 |
KU002767 |
Risk, Safety, and Failure Prevention — GENERATOR SET SURVEY Date: Installation: Location: Number of generator sets at this location: Generator Set #1 Physical |
media_required |
| 2768 |
KU002768 |
Risk, Safety, and Failure Prevention — GENERATOR SET SURVEY (continued) Generator Set #3 Physical Conditions: Good condition ODamage ONotinuse UO Need repair Q |
no_media_needed |
| 2769 |
KU002769 |
Risk, Safety, and Failure Prevention — Figure E.43 Generator Set Survey. |
no_media_needed |
| 2770 |
KU002770 |
Risk, Safety, and Failure Prevention — ELECTRICAL PANEL SURVEY Date: Installation: Location: Panel Identification: Manufacturer Name: Panel Type/Model: Voltage |
no_media_needed |
| 2771 |
KU002771 |
Risk, Safety, and Failure Prevention — ELECTRICAL PANEL SURVEY (continued) Other Circuit Breakers Circuit breaker rating: A 3 Ph or Single: How many CB: in the |
no_media_needed |
| 2772 |
KU002772 |
Risk, Safety, and Failure Prevention — Figure E.44 Electrical Panel Survey. |
no_media_needed |
| 2773 |
KU002773 |
Risk, Safety, and Failure Prevention — INVERTER SURVEY Date: Installation: Location: Inverter Identification: Number of inverters at this location: Do they all |
no_media_needed |
| 2774 |
KU002774 |
Risk, Safety, and Failure Prevention — INVERTER SURVEY (continued) Deficiencies Found Problems in the Past Notes |
media_required |
| 2775 |
KU002775 |
Risk, Safety, and Failure Prevention — Figure E.45 Inverter Survey. |
no_media_needed |
| 2776 |
KU002776 |
Risk, Safety, and Failure Prevention — BUILDING LIGHTNING PROTECTION SURVEY Date: Installation: Building #: Physical Conditions O Good Condition O Rust/Corrosi |
media_required |
| 2777 |
KU002777 |
Risk, Safety, and Failure Prevention — BUILDING LIGHTNING PROTECTION SURVEY (continued) Deficiencies Found Problems in the Past Sketch the roof floor plan and |
no_media_needed |
| 2778 |
KU002778 |
Risk, Safety, and Failure Prevention — Figure E.46 Building Lightning Protection Survey. |
no_media_needed |
| 2779 |
KU002779 |
Risk, Safety, and Failure Prevention — RECTIFIER SURVEY Date: Installation: Location: Rectifier Identification: Number of units at this location: Do they all h |
no_media_needed |
| 2780 |
KU002780 |
Risk, Safety, and Failure Prevention — RECTIFIER SURVEY (continued) Deficiencies Found Problems in the Past Customer’s Concerns Notes |
no_media_needed |
| 2781 |
KU002781 |
Risk, Safety, and Failure Prevention — Figure E.47 Rectifier Survey. |
no_media_needed |
| 2782 |
KU002782 |
Risk, Safety, and Failure Prevention — ELECTRICAL PANEL SURVEY Date: Installation: Location: Panel Identification: Manufacturer Name: Panel Type/Model: Voltage |
media_required |
| 2783 |
KU002783 |
Risk, Safety, and Failure Prevention — ELECTRICAL PANEL SURVEY (continued) Other Circuit Breakers CB rating: A How many CB: Conductor sizes: in the Panel CB ra |
no_media_needed |
| 2784 |
KU002784 |
Risk, Safety, and Failure Prevention — Figure E.48 Electrical Panel Survey. |
no_media_needed |
| 2785 |
KU002785 |
Risk, Safety, and Failure Prevention — TRANSFER SWITCHES SURVEY Date: Installation: Location: Transfer Switch Identification: Manufacturer Name: Model/Type: Se |
no_media_needed |
| 2786 |
KU002786 |
Risk, Safety, and Failure Prevention — TRANSFER SWITCHES SURVEY (continued) Operation Scheme Make before break? |
no_media_needed |
| 2787 |
KU002787 |
Risk, Safety, and Failure Prevention — Figure E.49 Transfer Switches Survey. |
no_media_needed |
| 2788 |
KU002788 |
Risk, Safety, and Failure Prevention — POWER TRANSFORMERS SURVEY Date. |
no_media_needed |
| 2789 |
KU002789 |
Risk, Safety, and Failure Prevention — POWER TRANSFORMERS SURVEY (continued) Temperature Winding temperature range: Bus temperature range: Enclosure temperatur |
media_required |
| 2790 |
KU002790 |
Risk, Safety, and Failure Prevention — Figure E.50 Power Transformers Survey. |
no_media_needed |
| 2791 |
KU002791 |
Risk, Safety, and Failure Prevention — UNINTERRUPTIBLE POWER SYSTEM SURVEY Date: Installation: Location: UPS System Identification: Number of modules: Do these |
no_media_needed |
| 2792 |
KU002792 |
Risk, Safety, and Failure Prevention — UNINTERRUPTIBLE POWER SYSTEM SURVEY (continued) Batteries Manufacturer: Model: Type: Number of battery banks: Number of |
no_media_needed |
| 2793 |
KU002793 |
Risk, Safety, and Failure Prevention — Figure E.51 Uninterruptible Power System Survey. |
no_media_needed |
| 2794 |
KU002794 |
Risk, Safety, and Failure Prevention — a, EE 3 < i a 2 °| 2 S g| & 2 | [2| & a #| 3a 3| gs | as é 2 Z|e| # Zla| 2 a > 3 nt Oo ¢ a< wi 7 & c 3 S| & <a os g| § E |
no_media_needed |
| 2795 |
KU002795 |
Risk, Safety, and Failure Prevention — Figure E.52 Low-Voltage Breaker Data Record. |
no_media_needed |
| 2796 |
KU002796 |
Risk, Safety, and Failure Prevention — cfm oR low eo | | | | sr le] fertile: | | | 1 ee EOE @lO:rlerle| | | ft | Ee; | | | | [ | ye ESS: Glor1Qexi@er |_| seo e |
no_media_needed |
| 2797 |
KU002797 |
Risk, Safety, and Failure Prevention — Figure F.1 NEMA Configurations for General-Purpose Nonlocking Plugs and Receptacles. |
no_media_needed |
| 2798 |
KU002798 |
Risk, Safety, and Failure Prevention — yw [Poy [| [| | [| | Tt Tt dee [?] | ojoy | | | | | epee tet | ft | | ft [ fT fT fT amy | | | | | {| | ft ls [FESS PO lO |
media_required |
| 2799 |
KU002799 |
Risk, Safety, and Failure Prevention — Figure F.2 NEMA Configurations for Locking Plugs and Receptacles. |
no_media_needed |
| 2800 |
KU002800 |
Risk, Safety, and Failure Prevention — PRIMARY CONTACT MATRIX ome Fai ange Cd Information Technology (FY Manager Cd Hasardoos Material (Hoe Mat Team [TT eal Re |
no_media_needed |